Nell Espie Grant Awards

Nell Espie Grant Awards
Name*

First NameLast Name
Phone*
Enrolled Nurse / Registered Nurse / Registered Midwife*
Current Role*
Hospital / Facility / ServiceType a question*
Email*
Please note that ALL formal communication will occur by email so please ensure this information is correct
Home Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Scholarship Eligibility

Please answer the following questions about your eligibility for this scholarship.
Ahpra Registration with the NMBA (i.e. Enrolled Nurse, Registered Nurse or Registered Midwife, if you are an undergraduate student you are not eligible for this scholarship) *

YesNo
Applicants must be a resident in Tasmania for two years prior to the application (if your answer is no you are not eligible for this scholarship)*

YesNo
Curriculum Vitae
Attach your Curriculum Vitae*

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Professional Participation Portfolio
Attach your Professional Participation Portfolio*

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Course/Conference Information
What is the course you will be studying/conference you will be attending?*
Who is the educational provider/conference organisation?*
What is the duration of the course/conference?*
Are you enrolled in the course/registered for the conference? If yes please attach evidence of enrolment/registration*

YesNo
If yes please attach evidence of enrolment/registration

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Have you completed any of the course? If yes, please provide comment below*

YesNo
In the field below in 250 words please address the selection criteria
1. Description of current studies.
2. Why you have chosen the particular study program.
3. How you are going to use your future qualification to advance nursing and or midwifery practice.
4. What are your long term career aspirations
*

0/250
If required upload a word or PDF file

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How does your course or conference align to the spirit of this Grant
Your answer should be 100-200 words (Information on Nell Espie can be found on the Nell Espie Study Grant page) *

0/200
How will you use the Grant funding if you are successful with this application
Your answer should be 100-200 words*

0/200

Referee Details

It is your responsibility to forward the Referee Report to each referee and to submit the reports as part of your online application.

Referee 1
Name*

First NameLast Name
Phone*
Email*
example@example.com
Position*
Attach the report for referee 1*

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Referee 2
Name*

First NameLast Name
Phone*
Email*
example@example.com
Date*

DayMonthYear
Date
Position*
Attach the report for referee 2*

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Applicant Declaration
Declaration*

The information provided in this application is true and correct
Should be Empty: